Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Total Renal Care Inc (NPI 1609166925)

Field	Value
Entity Type	Organization
Organization	Total Renal Care Inc
Address	3113 Washington Ave
City	Racine
State	WI
ZIP	53405
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	April 8, 2011

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	71,220	$50	$3.3M
A4657	Syringe, with or without needle, each	4,240	$1	$8.5K
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	400	$10	$4K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	1,420	$1	$2.8K
90674	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…	150	$1	$150
0011A	N/A	10	$0	$0
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	2,160	$0	$0
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	2,380	$0	$0
83550	The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…	2,220	$0	$0
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	2,560	$0	$0

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

Claims Volume vs. Wisconsin Distribution

Total Renal Care Inc — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	7	120	17,840	$50	$1.2M
90945	The provider evaluates the patient and chooses one of several methods to perform dialysis, except hemodialysis.	5	10	5,460	$60	$222.7K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	25	70	660	$20	$32.6K
82728	The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…	36	220	580	$10	$21.2K
83970	Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.	19	150	570	$10	$13.7K
87340	The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.	124	130	420	$10	$12.5K
83550	The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…	38	190	580	$1	$7.4K
86706	The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for hepatitis B surface antibody.	82	90	160	$10	$7.3K
83540	The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.	44	210	640	$1	$6.6K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	10	20	920	$1	$5.2K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Total Renal Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Total Renal Care Inc	CA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$26.5M
Total Renal Care Inc	CA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$22.6M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$19.9M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$16.8M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$16.1M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$15.9M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$14.7M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$13.8M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$13.7M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$13.3M

Nearby Providers

Other providers in the same ZIP code as Total Renal Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ascension All Saints Hospital, Inc	WI	General Acute Care Hospital	$0	$70.1M
Racine Tooth Town Dentistry For Kids	WI	Dental Clinic/Center	$0	$6.5M
Inder Singh	WI	Ophthalmology Physician	$272.4K	$0
Elizabeth Ralston	WI	Family Nurse Practitioner	$175.2K	$68.6K
Muhammad Sarki	WI	Interventional Cardiology Physician	$213.4K	$0
Radha Sanka	WI	Ophthalmology Physician	$211.6K	$0
Thomas Matkov	WI	Urology Physician	$138.7K	$0
Eki Drake	WI	Adult Health Nurse Practitioner	$121K	$3.7K
Shariff Attaya	WI	Clinical Cardiac Electrophysiology Physician	$92.2K	$0
Iftekhar Bader	WI	Pulmonary Disease Physician	$87.9K	$0

Total Renal Care Inc — Billing Profile & Reimbursement Data

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Total Renal Care Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References